HAYNES MEDICAL CLINIC (NPI# 1396106530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396106530 |
| Entity Type | Organization |
| Organization Name | HAYNES MEDICAL CLINIC |
| Other Organization Name | HAYNES MEDICAL CLINIC |
| Practice Address |
1009 E Wood St Paris TN 38242-4331 |
| Practice Telephone | 7314074922 |
| Practice Fax Number | 7314074920 |
| Mailing Telephone | 7314074922 |
| Mailing Fax Number | 7314074920 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | TERRIE B HAYNES WATSON (NURSE PRACTITIONER) |
| Authorized Official Telephone | 7314074922 |
| Authorized Official Credential | APRN-BC, FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
12936 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Haynes Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629200464 | Haynes Medical Clinic | Clinic/Center | 1116 N Market St, Paris, TN 38242-3206 | 2009-08-12 |
| Street Address |
1009 E WOOD ST |
| City | PARIS |
| State | TN |
| Zip Code | 38242-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851502009 | Terrie B Watson | Nurse Practitioner | 1009 E Wood St, Paris, TN 38242-4331 | 2007-05-26 |
| 1144629528 | Haynesmedical Clinic | Clinic/Center | 1009 E Wood St, Paris, TN 38242-4331 | 2014-08-21 |
| 1568897338 | Lori Gream | Nurse Practitioner | 1009 E Wood St, Paris, TN 38242-4331 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1255960134 | Alexander P Patrone | Student in an Organized Health Care Education/Training Program | 302b Tyson Ave, Paris, TN 38242 | 2020-04-03 |
| 1457980302 | Aswathy Krishnakumar | Student in an Organized Health Care Education/Training Program | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-03 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1588199152 | Taylor Wilson | Dentist | 3485 Highway 79 N, Paris, TN 38242 | 2017-04-20 |
| 1215472592 | Elizabeth Lane Mcintosh | Behavioral Analyst | 28 Fieldstone Dr, Paris, TN 38242 | 2016-12-22 |
| 1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
| 1942601539 | Trustworthy Anesthesia Care | Nurse Anesthetist, Certified Registered | 1010 Green Hill Dr, Paris, TN 38242 | 2014-09-15 |
| 1083963946 | West Tennessee Physical Medicine, Pllc | General Practice | 1024 Mineral Wells Avenue, Paris, TN 38242 | 2012-09-06 |
| 1316242514 | Henry Co. Health Dept. | Skilled Nursing Facility | 803 Joy St., Paris, TN 38242 | 2011-01-19 |
| Find all providers in zip 38242 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038958 | Wellness & Hormone Therapy Clinic | Nurse Practitioner | 3025 Lamar Ave, Paris, TX 75460-5013 | 2020-06-17 |
| 1811547524 | Amber Rene' Hines | Nurse Practitioner | 520 N Collegiate Dr Ste A, Paris, TX 75460-4885 | 2019-09-14 |
| 1053896316 | Karey Dale Asay | Nurse Practitioner | 2600 Lamar Ave, Paris, TX 75460-4864 | 2018-10-02 |
| 1093244162 | Mallory A Simonton | Nurse Practitioner | 1 Phipps Ln, Paris, IL 61944-2919 | 2017-06-12 |
| 1194018622 | Yvette Cooper Barton | Nurse Practitioner | 2835 E Wood St, Suite E, Paris, TN 38242-5948 | 2011-05-17 |
| 1932336898 | Patricia Kay Short | Nurse Practitioner | 520 N Collegiate Dr, Paris, TX 75460 | 2009-06-18 |
| 1336385335 | Carolyn Jan Robinson-cowley | Nurse Practitioner | 2675 41st St Se Ste 102, Paris, TX 75462-8209 | 2008-12-21 |
| 1972767804 | Millicent Kee | Nurse Practitioner | 875 S Collegiate Dr, Paris, TX 75460-6305 | 2008-07-10 |
| 1902089329 | Housecall Practitioners, Inc. | Nurse Practitioner | 137 County Road 42200, Paris, TX 75462-1400 | 2007-12-07 |
| 1851502009 | Terrie B Watson | Nurse Practitioner | 1009 E Wood St, Paris, TN 38242-4331 | 2007-05-26 |
| Find all providers in PARIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.